MBA. Application Form. Westminster International College. A Division of the London School of Commerce Group of Colleges

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1 A Division of the London School of Commerce Group of Colleges Application Form Level A-3A-01, Empire Tower 1, Empire Subang, Jalan SS16/1, Subang Jaya, Selangor Darul Ehsan, Malaysia Tel: Fax: postgrad@westminster.edu.my

2 1. Personal Details Title: Mr : Mrs : Ms: Other (Please Specify) : Surname: First Name: Gender: Male: Female: Nationality: Date of Birth: 2. Address Details Home Address: Contact Address (if different): Mobile : How did you hear about the course? Friend : Media (Adverts / Exhibitions etc.) : Internet: Representative : Please briefly give details : Official Use Only Student ID No. : Ref. No. :

3 3. Education Name of School, College or University Course Completed Grade(s) Dates of Study From To 4. Employment History Name and Address of Employer Position Dates of Employment From To If you require additional space, please continue on a separate sheet.

4 5. Statement of Purpose Please give a brief explanation below (no less than 200 words) why you have chosen to study the for Executives course.

5 6. References Please give the names and contact details of 2 references, these may be either professional or academic. Referee 1 Name: Address: Referee 2 Name: Address: Mobile : Mobile :

6 7. Terms & Conditions Terms and Conditions of Students of (WIC) 1. Attendance Students are expected to maintain 100% attendance. 2. Code of Conduct Disciplinary action will be taken against any student for inappropriate behaviour or breach of our code of conduct and could lead to exclusion/termination from the programme. 3. Programme Fees and Refund Policy If a student would like to accept their place on the course, a minimum deposit of 1,950 must be paid in advance or the fee in full. Your course fee includes all costs associated with your recruitment and admission. When students are paying fees by instalment, they must comply with the instalment plan specified in the offer letter. WIC s fee refund policy is set out below: a) Fees will be refunded in full if the student s application is declined by WIC. b) Once the student has commenced the course, fees will not be refunded. 4. Deferrals The student agrees not to defer or change his/her programme start date without prior written authorisation from WIC. 5. Published course content All courses and modules offered by WIC are subject to changes and can vary from time to time. WIC / Cardiff Metropolitan University reserves the right to change the course content without any prior notice to the student. In the event of the selected modules, options or degree programmes being closed or not conducted, a suitable alternative will be provided. 6. Equipment / Textbooks The student is expected to buy the recommended textbooks for all study modules prior to the commencement of the course. The student Agrees to purchase a personal computer or laptop prior to the commencement of the course. 7. Documents Supplied by Student All documents and information supplied are true, authentic and correct. If any document supplied is incorrect, fraudulent or misleading, the student will automatically be terminated from the course. 8. In the event or a student being terminated for lack of attendance or progression, the student will be liable for the entire course fee and there will be no refund of fees. 9. The School cannot be held liable for any delays in exam boards and results. I confirm that to the best of my knowledge the information given in this form is correct. If accepted on this course, I agree to abide by the above terms and conditions. Applicant Signature (as per passport) : Date : Kindly return the completed application to: Admissions,, Level A-3A-01, Empire Tower 1, Empire Subang, Jalan SS16/1, Subang Jaya, Malaysia Tel: Fax:

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